The Surgical Approach to Strabismus in Adults

Abstract

Strabismus in adults has many characteristics, treatment options and problems that differentiate it from childhood strabismus. These differences include time of onset, lack of comitance, complaints of diplopia, history of previous surgery (both strabismus and other types of eye surgery) and the association of systemic disease. Surgical techniques, including the adjustable suture procedure and botulinum toxin treatment are more easily utilized in the adult strabismus population. Diplopia may be more common after surgical therapy, but the chance of fusion postoperatively in the adult group is often greater than in many varieties of childhood strabismus.

• diplopia
• incomitant strabismus
• acquired strabismus
• adjustable sutures
• botulinum